KATHY A BUSH (MD) – Dermatology Physician, NPI 1508831900
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
59 DERMATOLOGY in ME
Provider Addresses for KATHY A BUSH (MD)
100 FODEN RD WEST
SUITE 203
SOUTH PORTLAND, ME 041062327
Phone: (207) 828-0361
Fax: (207) 874-1483
Type: Mailing
100 GANNETT DRIVE
SUITE C
SOUTH PORTLAND, ME 04106
Phone: (207) 347-2947
Fax: (207) 874-2317
Type: Mailing
100 FODEN ROAD WEST
SUITE 100
SOUTH PORTLAND, ME 04106
Phone: (207) 523-3900
Fax: (207) 523-8593
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($48).
Total Amount
$62
General + Research + Ownership
Payments
2
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $48 |
| Kairos Surgical Inc | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070223000143 | I | Dermatology | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 617 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 354 | 263 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 269 | 208 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 245 | 211 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 171 | 141 | $0 |
Insurance plans in this area (ZIP 04106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| P S Y C H I A T R Y | ME | |
| Physical Therapist In Private Practice | ME | |
| Family Practice, Sports Medicine | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Family Practice | ME | |
| - | ME | |
| - | ME | |
| Internal Medicine | ME |
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